title: Determinants of metabolic syndrome in Chinese schoolchildren.
abstract: The objective of this study was to identify the potential risk factors of metabolic syndrome (MetS) among Chinese schoolchildren. A cross-sectional study among 624 children (357 boys and 267 girls, aged 9.6 ± 0.7 years) was conducted in Wuhan, China, from May to June 2010. MetS was defined according to the criteria proposed by De Ferranti and the International Diabetes Federation (IDF) criteria. Data on cardiorespiratory fitness (CRF), household income, parental hypertension, and children's personal information, including birth weight, preterm birth, and breast-feeding, reported by their parents were obtained. Multiple logistic regression showed that CRF (odds ratio [OR] = 0.68; 95% confidence interval [CI] = 0.60-0.77), breast-feeding (OR = 0.32; 95% CI = 0.10-0.97), and paternal hypertension (OR = 5.06; 95% CI = 1.20-21.37) were all independently associated with MetS. In conclusion, low CRF and paternal hypertension significantly increase the risk, whereas breast-feeding may reduce the risk of MetS among Chinese schoolchildren.
authors.affiliation: Wuhan University, Wuhan, P R China.
authors.forename: Su-qing
authors.initials: SQ
authors.lastname: Wang
authors.affiliation: Wuhan University, Wuhan, P R China.
authors.forename: Yu-jian
authors.initials: YJ
authors.lastname: Liu
authors.affiliation: Wuhan University, Wuhan, P R China.
authors.forename: Jian
authors.initials: J
authors.lastname: Zhan
authors.affiliation: Wuhan University, Wuhan, P R China.
authors.forename: Xiao-li
authors.initials: XL
authors.lastname: Liu
authors.affiliation: Wuhan University, Wuhan, P R China.
authors.forename: Qi
authors.initials: Q
authors.lastname: Feng
authors.affiliation: Wuhan Center for Disease Control and Prevention, Wuhan, P R China.
authors.forename: Jie
authors.initials: J
authors.lastname: Gong
authors.affiliation: University of Pittsburgh, PA, USA.
authors.forename: Evelyn O
authors.initials: EO
authors.lastname: Talbott
authors.affiliation: Wuhan University, Wuhan, P R China heqiqiang@gmail.com.
authors.forename: Qi-qiang
authors.initials: QQ
authors.lastname: He
mesh_terms: D044466:Asian People; D001942:Breast Feeding; D002648:Child; D002681:China; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D024821:Metabolic Syndrome / Q000209:etiology*; D009765:Obesity; D016017:Odds Ratio; D012307:Risk Factors
keywords: China; children; metabolic syndrome; obesity; risk factors